ABSTRACT
Three cases of swallowing disorders have been presented in the course of atrophic lateral sclerosis in two patients, and in the pseudobulbar in one. All patients have been operated on after Lindeman method. It consists in formation of the tracheoesophageal anastomosis--tracheoesophageal diversion. Aim was achieved in all the cases. All patients have been taking food by mouth and recurrences of pneumonia were not observed.
Subject(s)
Deglutition Disorders/therapy , Esophagus/surgery , Trachea/surgery , Amyotrophic Lateral Sclerosis/complications , Anastomosis, Surgical/methods , Chronic Disease , Deglutition Disorders/etiology , Female , Humans , Male , Middle AgedABSTRACT
Diagnostics, differentiation and results of treatment for spondylogenic dysphagia in 8 male patients aged 50-69 (mean 57.7 years) have been presented. Non-steroid and steroid pharmacotherapy was successful in 6 patients. In 2 cases symptoms worsened and only surgical decompression of the esophagus was needed to eliminate dysphagia, persistent cough and hoarseness.
Subject(s)
Cervical Vertebrae/pathology , Deglutition Disorders/diagnosis , Deglutition Disorders/etiology , Spinal Osteophytosis/complications , Aged , Deglutition Disorders/therapy , Female , Humans , Magnetic Resonance Imaging , Male , Middle Aged , Retrospective Studies , Spinal Osteophytosis/diagnosisABSTRACT
The authors present a retrospective study of 463 partial horizontal laryngectomy of various types (horizontal supraglottic laryngectomy and its modifications, supracricoid laryngectomy with CHP and CHEP, glottic laryngectomy) performed in the years 1970-1991 in the ENT Clinic of Pomeranian Medical Academy in Szczecin. The aspiration pneumonia in 46 (about 10%) patients was observed as a result of insufficient lower airway protection. In cases of extended supraglottic laryngectomy (including the removal of one arytenoid cartilage and/or one vocal cord) aspiration pneumonia appeared more often (16%) than after classic supraglottic laryngectomy (6%). Reconstruction of elevation of arytenoid cartilage and/or vocal cord and base of tongue its extended resection augmented the efficacy lower airway protection.
Subject(s)
Deglutition Disorders/complications , Laryngeal Neoplasms/surgery , Laryngectomy , Larynx/surgery , Pneumonia, Aspiration/etiology , Arytenoid Cartilage/surgery , Humans , Laryngeal Neoplasms/pathology , Larynx/pathology , Neoplasm Staging , Pulmonary Ventilation , Retrospective Studies , Tongue/surgery , Vocal Cords/surgeryABSTRACT
The surgical technic of horizontal glottic laryngectomy and the oncological and functional results in 12 cases treated in ENT Clinic of Pomeranien Medical Academy in Szczecin during the years 1985-1991 are presented. In all cases the changes concerned the vocal cords and were of following extend: T1b--5 cases and T2--7 cases. The survival rate was: 5-years--4/6 patients, 3-year--8/10 patients and 1-2-years--2/2 patients. 3 patients died. The causes of death were: intraoperation--1 case, local recurrence--1 case and non neoplastic case--1 case. Among 12 cases decaniulation were possible in 9.
Subject(s)
Glottis/surgery , Laryngeal Neoplasms/surgery , Laryngectomy/methods , Larynx/surgery , Adult , Aged , Glottis/pathology , Humans , Laryngeal Neoplasms/diagnosis , Laryngeal Neoplasms/pathology , Larynx/pathology , Male , Middle Aged , Survival RateABSTRACT
The functional results in 61 patients after supracricoid reconstructive laryngectomy with CHP (28 cases) and CHEP (33 cases) performed in the University ENT Department in Szczecin between 1971-1989 are presented. Satisfactory lower airway protection in about 93% and respiration in the natural way in 83% are obtained. It was impossible to decaniulate 11 patients. The voice was socially sufficient in 89%.
Subject(s)
Cricoid Cartilage/surgery , Larynx/surgery , Adult , Aged , Cricoid Cartilage/pathology , Female , Humans , Laryngeal Neoplasms/complications , Laryngeal Neoplasms/pathology , Laryngeal Neoplasms/surgery , Laryngectomy , Larynx/pathology , Male , Middle Aged , Voice Disorders/etiology , Voice QualityABSTRACT
Two patients suffering from very rare granular cell tumor of the larynx were observed at the ENT Department of Medical School in Szczecin in the period 1986 to 1990. In one case the tumor located in the intra-arythenoid region was treated by tyreotomy. In the second case the tumor contained comisura anterior and cricothyreoidea region and was resected by subglottic laryngectomy. The functional results of the treatment were satisfactory.
Subject(s)
Granular Cell Tumor/surgery , Laryngeal Neoplasms/surgery , Adult , Granular Cell Tumor/pathology , Humans , Laryngeal Neoplasms/pathology , MaleABSTRACT
The histological and cytological pictures of epithelial-myoepithelial carcinoma of parotid gland were described. It was pointed out, that in the Polish literature these tumours were previously called clear cell adenoma.
Subject(s)
Carcinoma/pathology , Parotid Neoplasms/pathology , Female , Humans , Middle AgedABSTRACT
The authors provide brief clinical data and cytologic description of two extracranial meningiomas presenting as a cervical mass. Regardless of the rarity of the meningiomas in the neck region, using morphological criteria described in this article it is possible to diagnose preoperatively such a tumor by aspiration cytology.
Subject(s)
Head and Neck Neoplasms/pathology , Meningeal Neoplasms/pathology , Meningioma/pathology , Adolescent , Adult , Biopsy, Needle , Female , Humans , MaleSubject(s)
Esophagus/surgery , Laryngectomy/rehabilitation , Muscles/surgery , Pharyngeal Muscles/surgery , Speech, Alaryngeal , Speech, Esophageal , Adult , Aged , Humans , Middle Aged , Voice QualitySubject(s)
Epiglottis/surgery , Laryngectomy/methods , Deglutition , Humans , Laryngectomy/rehabilitationSubject(s)
Facial Nerve/surgery , Ear Canal , Ear, Inner , Humans , Methods , Nervous System/transplantation , Thigh/innervation , Transplantation, AutologousSubject(s)
Larynx, Artificial , Phonation , Speech, Alaryngeal , Voice , Evaluation Studies as Topic , Follow-Up Studies , Humans , Laryngectomy/rehabilitationABSTRACT
The technique and results of surgical reconstruction of different extent of the extratemporal part of the facial nerve after oncological operations and after accidental injuries are reported. Return of facial nerve function was observed in 15 out of 17 cases (87%) with follow-up over 1 year. An own modification of nerve suture is described. Attention is called to the possibility of perineural and endoneural spread of parotid malignant neoplasms.